NPI | 1154557627 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME160594) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: PA MD454947) |
2085N0700X Radiology, Neuroradiology (Licence: FL ME160594) | |
Enumeration Date | 2009-06-10 |
Last Update Date | 2024-03-22 |